The coexistence of Tolosa-Hunt syndrome and diabetic cranial mononeuropathy: a case report and a review of literature/Tolosa-Hunt sendromu ve diyabetik kraniyal mononoropati birlikteligi: olgu sunumu ve gozden gecirme

Citation metadata

Authors: Isil Yazici, Alp Sariteke and Yasar Zorlu
Date: Apr. 2014
From: Agri: The Journal of The Turkish Society of Algology(Vol. 26, Issue 2)
Publisher: KARE Publishing
Document Type: Article
Length: 2,486 words

Main content

Abstract :

Tolosa-Hunt syndrome (THS) is described as painful ophtalmoplegia caused by nonspesific inflammation of cavernous sinus or superior orbital fissure, which is response to steroid theraphy. Cranial neuropathies in diabetic patients are extremely rare and occur in older patients with poorly controlled diabetes. A 56-year-old diabetic female patient who developed simultaneous right VI., left III., IV., VI., VII. and maxiller branch of trigeminal nerve palsies with acute periorbital pain applied to our outpatient clinic. Although the coexistence of THS and diabetic cranial neuropathy is an uncommon condition, this should be considered as a possible diagnosis on patients who are admitted with painful ophtalmoplegia and simultaneous multipl cranial neuropathies. We approved to present our diabetic patient with cranial magnetic imaging because of this interesting unity and fasial nerve palsy accompanying to THS. Key words: Painful ophtalmoplegia; corticotherapy; Tolosa-Hunt syndrome. Tolosa-Hunt sendromu (THS) agrili oftalmopleji ile prezente olan, steroide yanitli, kavernoz sinus/superior orbital fissur'un enflamasyonunun neden oldugu bir hastaliktir. Diyabetik hastalarda kraniyal noropati nadir gorulmekle birlikte yasli ve duzenli kan sekeri takibi yapilmayan hastalarda sik gorulur. Elli alti yasinda kadin hasta periorbital agri ile es zamanli baslayan sag VI., sol III., IV., VI., VII. kraniyal sinirler ve trigeminal sinirin maksiller dali tutulumu ile basvurdu. THS ve diyabetik kraniyal noropati birlikteligi sik gorulmemekle birlikte eszamanli baslayan multipl kraniyal sinir felci ve agrili oftalmoplejisi olan hastalarda tanida dusunulmelidir. Diyabetik hastamizi ilginc birliktelik ve THS'ye fasiyal sinir felcinin de eslik etmesi nedeniyle tipik kraniyal maynetik rezonans (MR) goruntuleri ile sunmayi uygun bulduk. Anahtar sozcukler: Agrili oftalmopleji; kortikoterapi; Tolosa-Hunt sendromu.

Source Citation

Source Citation
Yazici, Isil, et al. "The coexistence of Tolosa-Hunt syndrome and diabetic cranial mononeuropathy: a case report and a review of literature/Tolosa-Hunt sendromu ve diyabetik kraniyal mononoropati birlikteligi: olgu sunumu ve gozden gecirme." Agri: The Journal of The Turkish Society of Algology, vol. 26, no. 2, 2014, p. 87+. Accessed 17 May 2021.
  

Gale Document Number: GALE|A369220501